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Community Health HESI Test Bank
1. What does the infant mortality rate measure?
- A. dying for every thousand of the population
- B. dying from 0-5 years old in every thousand population
- C. dying in the first 4 weeks in every thousand children born alive that year
- D. dying before 1 year old in every thousand children born alive that year
Correct answer: D
Rationale: The infant mortality rate measures the number of deaths occurring before 1 year old per 1000 live births. This is a crucial indicator of a population's health status and access to healthcare for infants. Choices A, B, and C are incorrect because the infant mortality rate specifically focuses on deaths within the first year of life, not the entire population or different age ranges.
2. The delivery of basic health services was decentralized to the local government units. The legal basis for this is embodied in:
- A. RA 7035
- B. EO 119
- C. RA 7160
- D. PD 999
Correct answer: C
Rationale: The correct answer is C, RA 7160. This law, also known as the Local Government Code, decentralizes health services to local government units. RA 7035 is not the legal basis for decentralizing basic health services. EO 119 and PD 999 are also not the correct legal bases for the decentralization of health services.
3. The client with asthma who is sensitive to house dust-mites is being instructed by the nurse. Which information about prevention of asthma episodes would be the most helpful to include during the teaching?
- A. Change the pillow covers every month
- B. Wash bed linens in warm water with a cold rinse
- C. Wash and rinse the bed linens in hot water
- D. Use air filters in the furnace system
Correct answer: C
Rationale: The correct answer is to wash and rinse the bed linens in hot water to help eliminate dust mites, a common trigger for asthma episodes. Washing in hot water is more effective in killing dust mites compared to warm water. Changing pillow covers every month may help but is not as effective as washing bed linens in hot water. Using air filters in the furnace system may improve air quality but does not directly target dust mites on bed linens.
4. How do integrative models of human health see health factors?
- A. derived solely from physical phenomena
- B. intertwined and interactive, with multiple components such as physical, psychological, and social
- C. generally being attributable to psychosocial problems in individuals
- D. effective only when combined and integrated with alternative therapies
Correct answer: B
Rationale: Integrative models of human health consider health factors as intertwined and interactive, involving various components like physical, psychological, and social aspects. This holistic approach recognizes that health is influenced by a combination of factors, not just physical phenomena (choice A). While psychosocial problems can impact health, integrative models go beyond attributing health solely to psychosocial issues (choice C). Additionally, integrative models do not imply that health is effective only when combined with alternative therapies (choice D), but rather emphasize the interconnectedness of various health components.
5. As a community health nurse engaged in the process of community empowerment, which action is essential for you to take?
- A. Gathering data from the community
- B. Making decisions for people in the community
- C. Forming partnerships with people in the community
- D. Accepting responsibility for people’s actions
Correct answer: C
Rationale: In the process of community empowerment, forming partnerships with people in the community is essential. This fosters collaboration, engagement, and shared decision-making, enabling the community to identify its needs, resources, and priorities. Gathering data from the community (Choice A) is important for understanding the community's health status but forming partnerships goes beyond data collection by actively involving community members in decision-making. Making decisions for people in the community (Choice B) undermines empowerment as it takes away their autonomy and control. Accepting responsibility for people’s actions (Choice D) is not synonymous with empowerment and can lead to disempowerment by creating dependency rather than fostering self-reliance and self-determination.
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